HVAC consulting services invoice, NYC WTC site, 2003

NYC 9/11 Public Portal Document

VENTILATION SYSTEM EVALUATION FORM Please complete this form in accordance with instructions in the accompanying guidance document Part 1.0 General Information Date of evaluation: i Building contact name and phone: aC 0.3 2 D& d Evaluation team (list name and affiliation): ----------------------P.- -- ---- ~-------------------------- t - AT11 P.Jt CA / J&u (Environmental 'professional) - TM y GA, _L-)(4 'UT EKs (HVAC professional) Building address: of Facility (check all that

MUJ `(9'ektj ' Multi-use U 10 Other (describe) Date of construction: Number of residentia units: S Number of floors: Prior inspection repot: maintenance records available for review?:

Other comments

Ventilation system 1 ypes (check all that apply and indicate total no. of units) Central ventilatic n system Mechanical exhaust system Est. no. of units Est. no. of units ft Mechanical mak.!-up air system Passive shaft/duct Est. no, of units Other (describe) Est. no. of units .1

I certify at to tie be of my knowledge, the information and inclu .a tta n s are a true and observations recorded on this form accurate representation of site conditions.

V tilation ystem (HV4C) Evaluator Date Part 2.0 Visu:.l Inspection Forms Use the attached forms to document visual inspections. Complete the instructions in the;cccompanying guidance forms in accordance with document.

NYC-WTC 000135459